Their efforts to form a sense of kinship are much appreciated, but their ego-centrism is just below the surface. The person may seem to be difficult because they are unable to see things from another person's point of view. Family and friends are going to have to be understanding.
Not being able to judge secondary consequences in spatial properties still results in the need for assistance to think ahead when dealing with spatial fits. The inability to pay attention to abstract thought will require modification in the physical and human environment. Oppositional behavior may occur when the person cannot understand why they are warned by others that their choices are inappropriate as they are unable to understand abstract concepts. Understanding caregivers are required to avoid such abstract negative consequences.